Johnson, Randall Richard
Johnson, Randall Richard is an individual health care provider with primary practice located at 102 E Kimberly Rd , Davenport IA 52806-5922. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Randall Richard can be contacted via phone (563) 386-1950.Contact Information
Primary practice address
102 E Kimberly Rd
Davenport IA 52806-5922
Phone: (563) 386-1950
Fax: (563) 386-1021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02142 | Iowa |
Profile Details
| NPI number | 1780640391 |
|---|---|
| LBN Legal business name | Johnson, Randall Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780640391 | NPPES |
| Other | 37150 | BCBS | |
| Other | J01642089 | BCBS |
Popular Providers
-
Bailey, Amanda L
1230 E Rusholme St Ste 203, Davenport IA 52803-2400 -
Nixon, Susan Dale
5225 Elmore Ave , Davenport IA 52807-3454 -
Mcandrews, Ruth Schewe
310 W Locust St , Davenport IA 52803-2806 -
Mcmanis, David L
4007 E 53Rd St Eyecare Max, Davenport IA 52807-3059 -
Woodham, Robert Bently
2150 E Kimberly Rd , Davenport IA 52807-2225 -
Howe, Colin Joseph
310 W Locust St , Davenport IA 52803-2806 -
Borcherding, Ronald Leslie
3101 W Kimberly Rd , Davenport IA 52806-3400 -
Corry, Raymond Walter
310 W Locust St , Davenport IA 52803-2806